Have you ever dreamed of running your own highly-profitable business? What if you could earn money even when you're not working, leaving you more free time with your family and friends? GanoLife is a business that can begin as a part-time venture, providing secondary income, and evolve into a full-time profession that makes you more money than you've ever made before! What are you waiting for? Join GanoLife today and make your dreams a reality!

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Independent Affiliate Application
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Affiliate Information:
Enrollment Option: Payment Method:
Applicant's Social Security Number (Required for commission checks to be issued)
Phone Number Fax Number
GanoLife ID# (To be issued by GanoLifeTM
Employee)
M.I.
State
State
Email Address
* If the shipping address is in an unincorporated zone, please attach a copy of your Sales Tax information to this application.
X3
Pack (500 PV/BV) $995.00
X2
Pack (250 PV/BV) $495.00
X1
Pack (100 PV/BV) $195.00
Genesis Plus $100.00+
Genesis Pack $63.00
$25.00
Credit Card Number
Cardholder Printed Name (As It Appears on Card)
Cardholder's Billing Address State Zip Code
Cardholder Signature
Applicant Signature Date
Co-Applicant Signature Date
Exp. Date (MM/YY) CVV2 (See back for details)
Cash Check Money Order
Credit Card: VISA MasterCard AmEx Discover
Check or Money Orders are held for
validation before request is processed
Send to Shipping Address Above
WILL CALL PICKUP at 935 S. Milliken Ave., Ste. B, Ontario CA 91761
Enrollment options
and prices shown do
not include shipping
and handling.
Real-time shipping
charges may apply.
Applicable sales tax
will apply based on
location. Enrollment
form for Continental
US, AK or HI
residences only.
Shipping Selection:
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Affiliate Co-Applicant Information: GanoLifeTM
business?)
Enroller Information: (The person that introduced you to GanoLifeTM
.)
Placement Information:
M.I.
First Name
First Name
Enroller's ID#
Sponsor (Placement) ID#
Last Name
Last Name
or
(Required: an Independent Affiliate must be 18 yrs or older OR
have a legal guardian sign on their behalf as a co-applicant)
Total Amount of Purchase (shipping & tax may be added)
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By signing below, I acknowledge that I have carefully read all of the Terms and Conditions on both sides of this application.
I understand the Terms and Conditions contained herewith and agree to be bound by them. I also understand that I may
terminate my Independent Affiliate status at any time with written notice to GanoLife.
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1840301686 Raul Duenez
x

2. GanoLife.
2.
4.
products.
requirements.
7.
consent from GanoLife.
responsible for declaration and payment of all taxes that may accrue because of my
responsibilities.
20.
22.
Rules of the American Arbitration Association. Each party to the arbitration shall be
24.
scheduled date).
Independent GanoLife™ Affiliate Application Agreement
Terms and Conditions (See www.ganolife.com/policy for complete Policies & Procedures)
CVV2 NUMBER
The CVV2 is an important security feature for credit card transactions on the Internet and over the telephone. “CVV” stands for Card Verification Value.
Visa, MasterCard and Discover Cards - The CVV2 is the three-digit number printed in the
signature space on the back of most credit cards. It is always the last group of numbers in the
signature space on the back of the card. It is not part of your regular credit card number.
American Express - The CVV2 is a four-digit number located on the front, above the embossed
credit card number. It is printed (flat) and not part of the embossed number.
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